The vague pain in the right chest during anxiety may be caused by sympathetic excitation due to anxiety attack, which in turn causes vague pain in the right chest. It may also be caused by organic diseases such as right pleural effusion, pleurisy, lung occupancy, coronary artery disease, etc. It is recommended to go to the hospital promptly for treatment. It is recommended to go to the hospital for treatment in a timely manner and deal with it accordingly after a clear diagnosis.1. Anxiety attack: When you are in an anxious mood, reactive sympathetic excitation can occur, which in turn causes symptoms such as vague pain in the right chest, chest tightness and rapid heartbeat. Psychological counseling should be actively carried out to reduce the burden of thought and relieve anxiety, and if necessary, anti-anxiety medication can be chosen, such as diazepam, alprazolam and other drugs; 2, right pleural effusion: when the right pleural effusion is more, symptoms such as right chest vague pain and chest tightness can occur, which can be diagnosed by chest radiography or chest CT examination, and fluid needs to be drained by thoracentesis, or closed drainage of the chest cavity to relieve the symptoms; 3, pleural effusion: when the right pleural effusion is more, symptoms such as right chest vague pain and chest tightness can occur. Pleurisy: local inflammatory reaction of the pleura can lead to vague pain in the right chest, which can be combined with fever and other symptoms, requiring antibiotics for treatment, such as cefixime, cefradin, cefprozil, etc.; 4, lung malignant tumors: lung malignant tumors and other lung occupying lesions can invade the pleura and involve the intercostal nerves, which can lead to vague pain in the right chest. In this regard, surgical treatment is possible, and patients who cannot be treated surgically can take chemotherapy or radiation therapy; 5, coronary heart disease: patients with coronary heart disease may cause vague pain in the right side of the chest, panic, weakness and other symptoms when they are anxious, after a clear diagnosis, they should promptly use nitroglycerin, isosorbide nitrate, aspirin and other drugs for treatment, and if necessary, surgery is needed to place coronary stents and other treatment, which can generally relieve The symptoms of chest pain can be relieved.